| NPI | 1730476623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R3823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098277) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2017-12-06 |